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Science 2015-08-04

One-fourth of female sex workers in northern Mexican cities enter sex trade as minors

More than 1 in 4 female sex workers in the northern Mexico cities of Tijuana and Ciudad Juarez reported entering the sex trade as minors, and entering the sex trade as an adolescent vs as an adult was associated with a greater risk for HIV infection, according to a study in the August 4 issue of JAMA, a violence/human rights theme issue.

Adolescents migrating from Central America and Mexico to the United States are at risk for being trafficked into the sex industry in Mexico's northern border cities. Research from other regions indicates that those entering the sex trade as adolescents (vs as adults) are more likely to experience sexual violence and to become infected with HIV. Apart from 1 study among injection drug users, no research exists on the prevalence of minors in the sex industry in Latin America or their subsequent risk for violence and HIV infection, according to background information in the article.

Jay G. Silverman, Ph.D., of the University of California-San Diego, La Jolla, Calif., and colleagues studied female sex workers age 18 years or older from Tijuana and Ciudad Juarez. Indoor and street sex work venues were randomly sampled based on mapping of all venues. Confidential computer-assisted surveys were completed to assess prevalence of adolescent (ages 16-17 years) and early adolescent (ages 10 clients/day), and no condom use during the initial 30 days after entry.

Of 1,041 individuals screened, 614 were eligible and 603 participated. The average age was 34 years; 25.4 percent reported entering the sex trade before the age of 18 years and 11.8 percent reported entry before the age of 16 years. Compared with those entering sex work as adults, those entering the sex trade as adolescents were more likely to report experiencing violence to force commercial sex (19.7 percent among those aged END